de Oliveira Hadelândia Milon, Gonçalves Maria Jacirema Ferreira, Pires Rodrigo Otávio Moretti
Escola de Enfermagem de Manaus, Universidade Federal do Amazonas, Manaus, Brasil.
Cad Saude Publica. 2011 Jan;27(1):35-45. doi: 10.1590/s0102-311x2011000100004.
This article focuses on the implementation of the Family Health Program (FHP) in municipalities (counties) in the State of Amazonas, Brazil, analyzing potential population coverage, evidence of change in the health care model, and impact (2004 and 2008). Implementation was classified as fair versus unsatisfactory. The findings showed an increase in the number of municipalities with the FHP implemented, as well as in the program's coverage (which nevertheless was less than 50% of the population). Concerning change in the health care model, no municipalities were observed with a high rate of change. As for impact, there was a decrease in low impact and an increase in high impact. The final classification did not show a statistically significant change from one year to the next, and unsatisfactory implementation prevailed in the municipalities of the State of Amazonas. Evaluation of the FHP is not simple, since there are various factors involved in the issue. Further studies could reveal the factors that explain the program's suboptimal implementation in the State of Amazonas.
本文聚焦于巴西亚马孙州各市（县）家庭健康计划（FHP）的实施情况，分析其潜在人口覆盖率、医疗保健模式变化的证据以及影响（2004年和2008年）。实施情况分为尚可与不令人满意两类。研究结果显示，实施FHP的市数量有所增加，该计划的覆盖率也有所提高（然而仍不到人口的50%）。关于医疗保健模式的变化，未观察到有高变化率的市。至于影响，低影响情况有所减少，高影响情况有所增加。最终分类显示，从一年到下一年没有统计学上的显著变化，并且在亚马孙州各市中，实施情况不令人满意的情况普遍存在。对FHP的评估并不简单，因为该问题涉及多种因素。进一步的研究可能会揭示出解释该计划在亚马孙州实施效果欠佳的因素。
